IndividualActive
Lateisha Mcdonald, CEO
NPI 1720694524 · Hospice Registered Nurse · Colton, CA
Provider details
- NPI number
- 1720694524
- Entity type
- Individual
- Primary specialty
- Hospice Registered NurseNursing Service Providers
- Credential
- CEO
- Sex
- Female
- Sole proprietor
- No
- License
- 123708 (CA)
Specialties & taxonomies
Nursing Service Providers
Practice location
1003 E Cooley Dr Ste J
Colton, CA 92324-3948
Phone: (951) 992-3665
Approximate (ZIP-level) locationGet directions
Mailing address
1003 E Cooley Dr Ste J
Colton, CA 92324-3948
Registry dates
- Enumerated
- 2020-09-17
- Last updated
- 2020-09-17
- Certified
- 2020-09-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.